Page 84 - Ebook_V01

âä¿ÅÙÍÍâëÔÊ (Fluorosis)

¿ÅÙÍÍäôà»š¹ÊÒèÓ໚¹ÊÓËÃѺ¡ÒÃà¨ÃÔÞàµÔºâµáÅоѲ¹Ò¡ÒâͧÁ¹Øɏ áÅÐÁÕÍÂÙ‹ã¹ÃÙ»

[33]
ÊÒûÃСͺµ‹Ò§æ ᵋËҡËҧ¡ÒÂä´ŒÃѺ¿ÅÙÍÍäôÁÒ¡à¡Ô¹ä»¨Ð·ÓãËŒà¡Ô´âä¿ÅÙÍÍâëÔÊ ¾ºâä
¿ÅÙÍÍâëÔÊä´ŒÁÒ¡¡Ç‹Ò 25 »ÃÐà·È·ÑèÇâÅ¡ ઋ¹ áÍ¿ÃÔ¡ÒËà¹×Í àÁç¡«Ôâ¡ »ÃÐà·ÈÅеԹÍàÁÃÔ¡Ò áµ‹¾º

[33]
¤¹·Õèä´ŒÃѺ¼Å¡ÃзºÁÒ¡·ÕèÊØ´·Õè»ÃÐà·È¨Õ¹ ÍÔ¹à´Õ âä¿ÅÙÍÍâëÔÊ໚¹âä·ÕèÃÑ¡ÉÒäÁ‹ä´Œ ᵋ¶ŒÒä´ŒÃѺ
¡ÒÃÇÔ¹Ô¨©ÑÂä´Œã¹ÃÐÂÐàÃÔèÁáá ¡ç¨ÐÊÒÁÒö¤Çº¤ØÁä´Œ´ŒÇ¡ÒèӡѴ»ÃÔÁÒ³¿ÅÙÍÍäôã¹¹íéÒºÃÔâÀ¤ [34]

´Ñ§¹Ñé¹ ¿ÅÙÍÍäô¨Ö§·ÓãËŒà¡Ô´ä´Œ·Ñ駻ÃÐ⪹áÅÐâ·É ¢Ö鹡Ѻ»ÃÔÁÒ³·ÕèËҧ¡ÒÂä´ŒÃѺ âä¿ÅÙÍÍâëÔÊ

ÊÒÁÒöẋ§ä´Œ´Ñ§¹Õé [33, 35]

1. Skeletal Fluorosis à¡Ô´¨Ò¡¡Ò÷ÕèËҧ¡ÒÂä´ŒÃѺ¿ÅÙÍÍäô»ÃÔÁÒ³Áҡ㹪‹Ç§ÃÐÂÐàÇÅÒ˹Öè§

Ê‹§¼ÅãËŒ¤Í ËÅѧ à¢‹Ò äËÅ‹ ¡Ãд١ ËÃ×Í¢ŒÍµ‹Íà¡Ô´µÔ´¢Ñ´ à¨çº»Ç´ ËÃ×Íà¤Å×è͹äËÇä´Œ¨Ó¡Ñ´

Ô
33, 34 (ÀÒ¾·Õè 15 A, B, C) áÅзÓãËŒ¡Ãд١à¡Ô´¡ÒÃàÊÕÂÃÙ» (bone deformity) áÅÐà¾èÁ
¤ÇÒÁàÊÕ觢ͧ¡ÒÃà¡Ô´¡Ãд١ËÑ¡ä´Œ ¤ÇÒÁ¼Ô´»¡µÔ¹Õé·ÓãËŒà¡Ô´·Ø¾¾ÅÀҾ͋ҧ¶ÒÇÃä´Œ·Ñé§

ã¹à´ç¡áÅмٌãËÞ‹ (ÀÒ¾·Õè 15 D)

2. Non-skeletal Fluorosis à¡Ô´¨Ò¡¡ÒÃä´ŒÃѺ¿ÅÙÍÍäôã¹»ÃÔÁÒ³ÁÒ¡Í‹ҧµ‹Íà¹×èͧ ¨Ö§Ê‹§

¼Å¡Ãзºµ‹ÍÍÇÑÂÇÐÀÒÂ㹠ઋ¹ µÑº äµ ÍÇÑÂÇÐÊ׺¾Ñ¹¸Ø à«ÅàÂ×èͺØËÅÍ´àÅ×Í´ ËÃ×Í à«Å»ÃÐÊÒ·

×
ÍÒ¨ÁÕÍÒ¡ÒûǴ·ŒÍ§àº×èÍÍÒËÒà »˜ÊÊÒÇк‹Í ´èÁ¹íéÒº‹Í ¡ÅŒÒÁà¹×éÍ͋͹áç ËÃ×Í·ŒÍ§¼Ù¡ [33, 36]

3. Dental Fluorosis à¡Ô´¨Ò¡¡Ò÷ÕèËҧ¡ÒÂä´ŒÃѺ¿ÅÙÍÍäô»ÃÔÁÒ³ÁÒ¡ã¹ÃÐËÇ‹Ò§·ÕèÁÕ
¡ÒÃÊÌҧªÑé¹¼ÔÇà¤Å×ͺ¿˜¹ «Ö觨СŋÒǶ֧â´ÂÅÐàÍÕ´µ‹Íä»

ÀÒ¾·Õè 15 Skeletal fluorosis

A- Stage I: Swollen joints, pain and rigidity;

B- Stage II: Deformed but still moving;

C- Crippled, only moving short and with difficulties and pain;

D- A radiograph of the 7-year-old Kiddo developed skeletal fluorosis due to extremely

high fluoride concentrations in her water supply (from volcanic rock of Mt. Meru

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